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SAN JOAQUIN COUN1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q., a;P• Telephone:(209) 468-3420 Fax: (209)464-0138 Web:wwW.s*qov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: d I t Jr r ; of J N v c l; i, Date: _ 2 y— ? <br /> Address: 7 <br /> 2 G L'_ S-, City: S } h Zip Code: 9 S Z C 4 <br /> Owner/Operator: A r Telephone: <br /> �o rCti A C' <br /> Program Element: ]G U , Program Record: S /? co 7 7 Inspection Type: f'.-01 C <br /> SB180 Posted Li Yes 11 No Permit Posted n Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> J- i 010 4ir. n corrotcled-Iiice oil , <br /> p ! o V C, JQ o /l u I I ; ti , /ps1 4 rac•77 <br /> in 2 cniti <br /> lr aw cod I-A)a e / <br /> R0,54 a u rc, I ZS 'SC/ S & �57 <br /> V' elm t' S <br /> r <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> L1 C�. <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: 13 Ll of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: (7 ' S Page of <br /> EHD 16-24 (2ndpg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />